National Provider Identifier
Makala Kinnicutt
Makala Kinnicutt is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Elmira, NY and a listed phone number of (607) 733-5696.
Profile Overview
- NPI
- 1740065671
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 29, 2023
- Last Updated
- August 29, 2023
Practice Location
- 1019 E Water St
- Elmira, NY 14901-3332
Phone: (607) 733-5696
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1740065671
- Entity Type
- Individual
- Last Name
- Kinnicutt
- First Name
- Makala
- Mailing Street Address
- 1019 E Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3332
- Mailing Country
- US
- Mailing Phone
- (607) 733-5696
- Practice Street Address
- 1019 E Water St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3332
- Practice Country
- US
- Practice Phone
- (607) 733-5696
- Enumeration Date
- August 29, 2023
- Last Updated
- August 29, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)